Healthcare Provider Details

I. General information

NPI: 1144157686
Provider Name (Legal Business Name): CRYSTAL ARZATE STROPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 E HERNDON AVE STE 101
FRESNO CA
93720-3158
US

IV. Provider business mailing address

1040 E HERNDON AVE STE 101
FRESNO CA
93720-3158
US

V. Phone/Fax

Practice location:
  • Phone: 559-396-3145
  • Fax:
Mailing address:
  • Phone: 559-396-3145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberAPCC22289
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: